Hochatown Trade Days - Vendor Sign-Up

Hochatown Trade Days
Vendor Application
(print this page and send to address below)

Date you are requesting: _______/_______/________

Business Name: _____________________________________________________________

Owner: _____________________________________________________________________

Address: _____________________________________________________________

City: ____________________________________ State: _____ Zip:__________

Phone #: ________________________ Alternate #: _______________________

Email: _______________________________________________________________

Booth # requested: ________ Electric Needed? [YES] [NO]

Description of products (attach additional pages if needed):

____________________________________________________________________________

Signature: _________________________________________ Title: ________________

Amount remitted with application: $__________ Date: _______/_______/________

Make checks payable to "Lynette Gammon"

Send this completed form and payment to:
   Lynette Gammon
   P.O. Box 630
   Broken Bow , Okla. 74728

Phone: 580-236-5199

Office use only: Amount Received: $______ Check # ______ Cash [ ] Date: ____/____/____

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